Individual provider Active NPI

Beatty Cynthia Cohan, MSW, LCSW

  • Clinical Social Worker
  • Lakewood Ranch, FL
National Provider Identifier
1376842062
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6130 Issued in FL
Practice address
12307 Greenbrier Way
Lakewood Ranch, FL 34202-2922
Phone
(941) 955-6116
NPI assigned
Mar 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6130 FL Primary

Addresses

Primary practice location

12307 Greenbrier Way
Lakewood Ranch, FL 34202-2922

Mailing address

12307 Greenbrier Way
Lakewood Ranch, FL 34202-2922
Phone (941) 955-6116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160504002368 NY Practitioner - Clinical Social Worker 6901897107 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

260 Riverside Dr
New York, NY 10025-5259
Phone (941) 914-3063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6130FLMDDentist
079842NYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sara G Graff L C S W P a Clinical CurrentSince Mar 28, 2011 Accepting new patients

Locations

1497 Main St
Dunedin, FL 34698
Phone (727) 479-6041

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1376842062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12307 GREENBRIER WAY",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342022922",
            "telephone_number": "941-955-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12307 GREENBRIER WAY",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342022922",
            "telephone_number": "941-955-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHAN",
        "first_name": "BEATTY",
        "middle_name": "CYNTHIA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "6130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.